Elder Athlete Physical Therapy Pllc
NPI #1841944519 in St Petersburg, Florida
Provider Information
- NPI Number
- 1841944519
- Entity Type
- Organization
- Organization Name
- Elder Athlete Physical Therapy Pllc
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Feb 10, 2022
- Last Updated
- Feb 10, 2022
Practice Location
- Address
- 490 1ST AVE S STE 220
- City
- St Petersburg
- State
- Florida
- ZIP Code
- 33701-4287
- Phone
- (727) 380-4887
Authorized Official
- Name
- LUCIE MARIE STAGG, DPT
- Title
- OWNER
- Phone
- (727) 380-4887
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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